Organization Active NPI

SH Physical Therapy PC

  • Physical Therapist
  • Bayside, NY
National Provider Identifier
1124800552
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SH PHYSICAL THERAPY PC
Practice address
4324 215TH St FL 1
Bayside, NY 11361-2973
Phone
(646) 691-6447
Fax
(516) 985-7850
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seungyoung HanNPI 1134767197
Title
Employer
Phone
(646) 691-6447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4324 215TH St FL 1
Bayside, NY 11361-2973

Mailing address

4324 215TH St FL 1
Bayside, NY 11361-2973
Phone (516) 537-9639

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1124800552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 215TH ST FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612973",
            "telephone_number": "516-537-9639",
            "fax_number": "516-985-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 215TH ST FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612973",
            "telephone_number": "646-691-6447",
            "fax_number": "516-985-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SEUNGYOUNG",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "646-691-6447"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.